Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH9194 | FL |
NPI | 1649542945 |
---|---|
Provider Name | Dr. Anthony James Murray |
First Address | St Petersburg, FL 33701-3211 |
Second Address | St Petersburg, FL 33701-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2012 |
Last Update Date | 16/12/2016 |